St Joseph's Medical Center Home Health

The agency failed to follow standard infection control and prevention measures for one of eighteen sampled patients (Patient 6) when Licensed Nurse 2 (LN 2) did not change gloves and perform hand hygiene during Patient 6’s wound care.

The home health agency failed to provide written notices in a language that patient understood for one out of eighteen sampled patients (Patient 5), when Patient 5 who have limited English proficiency, was not provided written notice in her primary and preferred language.

The agency failed to ensure two (2) of eighteen sampled patients (Patient 1 and Patient 7) received all services outlined in the plan of care (POC - a comprehensive, individualized document that outlined the patients’ specific needs, goals, and the interventions required to achieve those goals)…

The agency failed to ensure two (2) of eighteen sampled patients (Patient 1 and Patient 3) received their initial physical assessment within the required timeframe when, 1. Patient 1 was not seen by a Registered Nurse (RN) within 48 hours of the referral date (the date the agency received the…

The agency failed to ensure one of eighteen sampled patients (Patient 5’s) medication profile was reviewed and updated, when Patient 5’s medication report did not include all the medications patient was currently taking.

The agency failed to ensure services were provided as ordered on the Plan of Care (POC) for 4 of 17 sampled patients (Patient 4, Patient 9, Patient 10, and Patient 14).

The agency failed to ensure the individualized plan of care (POC) developed for one of 17 sampled patients (Patient 9) included vital information that the patient had a newly implanted dual channel pacemaker (a device surgically implanted into patient's chest designed to monitor heart rate and…

The home health agency failed to ensure the medication profile was accurate for one of seventeen sampled patients (Patient 13), when Patient 13's medication profile did not reflect medications he was taking.

The agency failed to follow the Plan of Care (POC) for 1 of 17 sampled patients (Patient 2) when frequency of visits for Physical Therapy (PT) was not in accordance to physician orders.

The agency failed to ensure the discharge medication profile was updated for 1 of 17 sampled patients (Patient 4).

The agency failed to ensure discharge medication administration instruction was clear for 1 of 17 sampled patients (Patient 4).

The agency failed to ensure 1 of 17 sampled patients (Patient 5) clinical record was complete and accurate when the physician orders for clinician visits were entered after the patient was discharged.